| NPI | 1356629463 |
|---|---|
| Former Name | KRISTEN M BRUMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1371) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IA 002526) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2016-06-27 |